CV ASC Registry Education-Seq#4625 (Tobacco Use)

Video Transcription

Sequence 4625, tobacco use, is indicating the frequency a patient uses tobacco as assessed and documented on arrival to your facility for their diagnostic coronary angiography  or PCI procedure. To emphasize, this data element is focused on tobacco, not nicotine, so nicotine delivery  devices such as vaping and e-cigarettes are not considered in the coding of this data element. These definitions are aligned to industry standard definitions to support data capture  directly from EMRs, electronic medical records, and to align with meaningful use. Therefore, it can be coded based on documentation of tobacco use, such as patient is a former  smoker of cigars would be coded as former, or it can be coded based on descriptive documentation that meets the definition in the data dictionary.  If coding using descriptive documentation, you would consider any tobacco product as an equivalent to cigarettes, which are referenced in the definitions.  If no documentation is present, and the current and prior smoking status is not known, unknown would be coded.

Video Summary

Sequence 4625 in medical coding captures a patient's tobacco use frequency during diagnostic coronary angiography or PCI. It specifically focuses on tobacco, not nicotine hence excludes vaping or e-cigarettes. Coding aligns with industry standards and EMR to ensure accurate data collection. Documentation indicating former smoking is coded as 'former,' while descriptive documentation matching the data dictionary can also be used for coding. Any tobacco product equates to cigarettes in absence of specific documentation. If smoking status is unknown, 'unknown' is coded. This process supports meaningful data capture for patient care.

Keywords

medical coding

tobacco use frequency

coronary angiography

PCI

EMR data collection